Clinical and Sociocultural Factors Associated With Failure to Escalate Care of Deteriorating Patients

2017 ◽  
Vol 33 (4) ◽  
pp. 391-396
Author(s):  
Firas S. Elmufdi ◽  
Susan L. Burton ◽  
Nishant Sahni ◽  
Craig R. Weinert
Keyword(s):  
Text Analysis ◽  
Moral Distress ◽  
Teaching Hospitals ◽  
Sociocultural Factors ◽  
Analysis Software ◽  
Factors Associated ◽  
Daily Care ◽  
Code Blue ◽  
Medical Emergencies ◽  
Patients With Poor Prognosis

In-hospital medical emergencies occur frequently. Understanding how clinicians respond to deteriorating patients outside the intensive care unit (ICU) could improve “rescue” interventions and rapid response programs. This was a qualitative study with interviews with 40 clinicians caring for patients who had a “Code Blue” activation or an unplanned ICU admission at teaching hospitals over 7 months. Four study physicians independently analyzed interview transcripts; refined themes were linked to the transcript using text analysis software. Nine themes were found to be associated with clinicians’ management of deteriorating patients. Multiple human biases influence daily care for deteriorating hospitalized patients. A novel finding is that “moral distress” affects escalation behavior for patients with poor prognosis. Most themes indicate that ward culture influences clinicians to wait until the last minute to escalate care despite being worried about the patients’ condition.

A Systematic Review of Individual, Psychological and Sociocultural Factors Associated with Safe and Risky Sexual Behavior in Older Adults

2021 ◽  
pp. 1-20
Author(s):  
Dafne Astrid Gómez Melasio ◽  
Dora Julia Onofre Rodríguez ◽  
Raquel Alicia Benavides Torres ◽  
Pedro Enrique Trujillo Hernández
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sexual Behavior ◽  
Risky Sexual Behavior ◽  
Sociocultural Factors ◽  
Factors Associated

scholarly journals Scuba Diving Experience and Sustainability: An Assessment of Online Travel Reviews

2018 ◽  
Vol 9 ◽  
pp. 43-52 ◽  
Author(s):  
Peunjodi Naidoo ◽  
Prabha Ramseook-Munhurrun ◽  
Jing Li
Keyword(s):  
Text Analysis ◽  
Physical Environment ◽  
Scuba Diving ◽  
Tourism Industry ◽  
Small Island ◽  
Analysis Software ◽  
Unsupervised Analysis ◽  
Online Travel Reviews ◽  
Tourism And Hospitality ◽  
Online Travel

Scuba diving is a popular activity in small island destinations which is on the rise. However, it is particularly important to preserve the physical environment for small island developing states due to their unique biodiversity and fragile ecosystems. Scuba diving tourism in island destinations is provided mainly by dive operators who are responsible to deliver the scuba diving experience to tourists. However, despite the importance of sustainability for the tourism industry, it is unclear to which extent the marine environment or green issues are important for consumers. Studies are increasingly suggesting that sustainability is an important feature considered by consumers. However, information is sparse regarding the extent to which sustainability is a key component for customers when evaluating the scuba diving experience. In this study, 3109 text reviews from the Trip Advisor website across all 57 listed diving operators in Mauritius were selected for data analysis. Th e present study uses Leximancer, a text analysis software that conducts unsupervised analysis of natural language texts provided in an electronic format.The Gaze: Journal of Tourism and Hospitality Vol.9 2018 p.43-52

Factors Associated with Moral Distress and Caring Behavior of Nurses Working in Emergency Departments of Mazandaran University of Medical Sciences During COVID-19 Pandemic

2021 ◽  
Vol 15 (5) ◽  
pp. 1545-1550
Author(s):  
F. Talebian ◽  
T. Yaghoubi ◽  
R. Marzband
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Moral Distress ◽  
Final Conclusion ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Caring Behaviors ◽  
Factors Associated ◽  
Caring Behavior ◽  
Medical Centers

Introduction: Moral distress is one of the prevalent problems of nursing which causes stress, that leads to nurses being unable to show a proper moral function in the critical situations. Moreover, due to the stressful conditions in emergency department, caring behaviors of nurses is of great importance. This study aimed to determine the factors associated with moral distress and caring behaviors of nurses working in emergency departments in educational-medical centers of Mazandaran University of Medical Sciences during COVID-19 pandemic. Methodology: This study was descriptive-analytical which was conducted through stratified and convenience sampling, and by participation of 188 nurses working in emergency departments in 5 educational-medical centers of Mazandaran University of Medical Sciences in 2020. Data was collected through standard three-section questionnaire of demographic information, Corley moral distress and Wolf caring behaviors of nurses, and its validity and reliability was confirmed. Data was analyzed by using descriptive (mean and standard deviation, frequency and percentage) and analytical statistics (Mann–Whitney, Kruskal-Wallis, and Spearman correlation coefficient). Finding: Moral distress mean score of nurses working in emergency was 20/97±101/60 and they had 92/4% of average moral distress. Caring behavior of nurses was 8/62±101/60. Gender and marital status variables had a significant relation with caring behavior, in a way that male nurses and married nurses had a lower score (p<0.05). the relation between moral distress and caring behavior was NOT statistically significant. Final conclusion: Nursing staff must have a good command of their caring behavior so that caring will be presented in high quality, and patients and help-seekers’ satisfaction who come to the emergency, especially in COVID-19 pandemic, will be met. Thus, it is necessary that health and medical system managers provide educational programs to draw nurses’ attention to their caring behavior dimensions, especially in emergency departments. Key words: moral distress, caring behavior, emergency department nurse, COVID-19 pandemic

scholarly journals A posthumanist pedagogy using digital text analysis to enhance critical thinking in higher education

2019 ◽  
Vol 35 (4) ◽  
pp. 845-880
Author(s):  
Kieran O'Halloran
Keyword(s):  
Higher Education ◽  
Critical Thinking ◽  
Text Analysis ◽  
Status Quo ◽  
Analysis Software ◽  
Education Students ◽  
Digital Text ◽  
The Status ◽  
Project Assignment ◽  
Independent Thinking

Abstract I model a critical posthumanist pedagogy that uses text analysis software and is aimed at higher education students. A key purpose of the pedagogy is to help students enhance empathetic, critical and independent thinking. For their project assignment, the student chooses an unfamiliar campaign seeking to eliminate suffering and extend rights. They gather all texts from the campaign website into a corpus, which thus represents the campaign writ large. Then they use appropriate software to ascertain, efficiently and rigorously, common campaign concerns across this corpus. This puts students in a position to discern any significant concerns in the campaign corpus that are not addressed in text(s) supporting the status quo which the campaign opposes. Should significant omissions be found, students critically evaluate the status quo text(s) from the campaign’s perspective. Since this perspective derives from the student identifying (at least temporarily) with software generated data, it is a posthuman subjectivity. Engaging digitally and empathetically with a campaign’s data at scale for creation of a posthuman subjectivity can broaden awareness of disadvantage, discrimination, and suffering as well as expand horizons. Moreover, at the end of the assignment, the student is expected to formulate their own position vis-à-vis the previously unfamiliar campaign. Conditions have been created then for the student to enhance independent thinking too.

scholarly journals Anemia in Sudanese patients with chronic renal failure (CRF) and in patients undergoing chronic hemodialysis

1970 ◽  
Vol 10 (3) ◽  
pp. 152-158
Author(s):  
MH Fathelrahman
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Chronic Hemodialysis ◽  
Hemoglobin Level ◽  
Adverse Outcomes ◽  
Teaching Hospitals ◽  
Factors Associated ◽  
Serum Erythropoietin Level ◽  
The Mean ◽  
Serum Erythropoietin

Background: The term of anemia of chronic renal failure (CRF) in sufficiency refers to that anemia resulting directly from failure of the endocrine and excretory functions of the kidney and decreased production of erythropoietin by damaged kidneys. The serum erythropoietin level in patients with renal failure does not increase in response to the developing anemia, which is the primary cause of inadequate erythropoiesis. Aim: The purpose of our study was to examine, among patients with CRF, the combined association of CRF and anemia on adverse outcomes. Settings and Design: A hospitalized study using administrative data, we identified all patients hospitalized with CRF in IBN-Sena hospital and Khartoum teaching hospitals, Khartoum, Sudan. Materials and Methods: This was a retrospective cohort study of 500 patients having a diagnosis of chronic renal failure hospitalized and discharged between October 2007 to February 2010 from two Sudanese Teaching hospitals (Khartoum and IBN-Sena). All adult patients with chronic renal failure hospitalized for hemodialysis. Results: Hemoglobin level was recorded for 500 members (100%) of the cohort. The mean (SD) hemoglobin was 13.0 g/dL (2.2) range from 11.8 g/dL to 14.6 g/dL. On admission, an hemoglobin of ≥ 14 g/dL was found in 36.2% of the patients, 36.2% had an hemoglobin between 12 g/dL and 14 g/dL, 19.6% between 10 g/dL and 12 g/dL, and 8% ≤ 10 g/dL. The proportion of patients with CRF was associated with increasing anemia. Conclusion: The results obtained indicated the further evidence that the concomitant presence of either CRF or anemia increased the risk of dying in the hospital or of being readmitted within 30 days among patients hospitalized. The association persisted after controlling for other factors associated with adverse outcomes in these patients. Key words: Anemia, chronic renal failure. DOI: http://dx.doi.org/ 10.3329/bjms.v10i3.8357 BJMS 2011; 10(3): 152-158

scholarly journals Development of the text analysis software agent (chat bot) for the library based on the question and answer system TWIN

2019 ◽  
Vol 30 ◽  
pp. 04006
Author(s):  
Anastasia Ivanovskaya ◽  
Konstantin Aksyonov ◽  
Igor Kalinin ◽  
Yuriy Chiryshev ◽  
Olga Aksyonova
Keyword(s):  
Text Analysis ◽  
Software Agent ◽  
Analysis Software ◽  
Response System ◽  
System A ◽  
Correct Information ◽  
Question And Answer ◽  
Chat Bot

The development of a text analysis software agent is presented for a library based on the TWIN question-response system. A review of modern platforms for creating chat bots. The results of experiments with a trained text analysis software agent are described. The trained agent fully provided correct information during the experiments.

scholarly journals Structural and Sociocultural Factors Associated with Cervical Cancer Screening Among HIV-Infected African American Women in Alabama

2015 ◽  
Vol 29 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Michelle Williams ◽  
Linda Moneyham ◽  
Mirjam-Colette Kempf ◽  
Eric Chamot ◽  
Isabel Scarinci
Keyword(s):  
Cervical Cancer ◽  
African American ◽  
Cancer Screening ◽  
African American Women ◽  
Cervical Cancer Screening ◽  
Sociocultural Factors ◽  
American Women ◽  
Factors Associated

Factors Associated With Rapid Response Call Conversion To Code Blue Or Intensive Care Unit (ICU) Admission

2012 ◽  
Author(s):  
Jennifer Maguire ◽  
Shannon S. Carson ◽  
Loc Culp ◽  
Celeste Mayer ◽  
Renae E. Stafford ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rapid Response ◽  
Factors Associated ◽  
Icu Admission ◽  
Code Blue
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